The report looked specifically at the areas of public mainly Ministry of Health (MoH) procurement of medications and medical devices and supplies. Accordingly a number of methodologies were being used to identify potential areas of integrity weakness in the public procurement processes. The existence of an effective functioning procurement system is dependent on the transparency of the processes,and ability to hold individuals,entities and personnel accountable for adhering to standard procedures,norms,laws,by-laws and regulations in each of these functions. The approach to be taken in this assessment is to focus on the level of integrity rather than to deal purely with identifying corruption